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胸椎和腰椎肿瘤的翻修手术:病因、预防和治疗策略。

Revision surgery for tumors of the thoracic and lumbar spine: causes, prevention, and treatment strategy.

机构信息

GSpine4, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Austin Health, Melbourne, Australia.

出版信息

Eur Spine J. 2020 Feb;29(Suppl 1):66-77. doi: 10.1007/s00586-019-06276-8. Epub 2020 Jan 20.

Abstract

INTRODUCTION

Revision surgery in spine tumor surgery can offer peculiar challenges given the severity of the majority of these lesions and the complexity of surgical procedures that are required.

MATERIALS AND METHODS AND RESULTS

Based on literature review and on personal experience, surgical site infection, cerebrospinal fluid leakage, tumor recurrence and hardware failures are some of the possible causes of surgical revision in this set of patients.

CONCLUSIONS

The aim of this study is to evaluate the most frequent complications that can lead to revision in spine tumor patients, to provide suggestions on how to prevent these events and to offer reasonable strategies to properly plan and perform a revision surgery. These slides can be retrieved under Electronic Supplementary Material.

摘要

引言

脊柱肿瘤手术中的翻修手术极具挑战性,因为这些病变大多数都很严重,而且需要进行复杂的手术。

材料和方法及结果

基于文献回顾和个人经验,手术部位感染、脑脊液漏、肿瘤复发和内固定失败是导致该组患者手术翻修的一些可能原因。

结论

本研究旨在评估可能导致脊柱肿瘤患者需要翻修的最常见并发症,提供如何预防这些事件的建议,并为合理规划和进行翻修手术提供适当的策略。这些幻灯片可在电子补充材料中获取。

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